Nicholas Paul Vezzoli, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3026 Issued in CT

Practice address

1156 Boston Post Rd
Old Saybrook, CT 06475-4405

Phone

(860) 388-2020

Fax

(860) 388-0889

NPI assigned

Jul 25, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wild Apple Eye II LLCGroup PAC ID 9537551353, 5 clinicians

Wild Apple Eye III LLCGroup PAC ID 5799177952, 5 clinicians

Wild Apple Eye LLCGroup PAC ID 6608296272, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wild Apple Eye II LLC

  • Optometrist
  • Colchester, CT
  • NPI 1174283246
  Medicare reassignment Care Compare group NPD
• Wild Apple Eye III LLC

  • Optometrist
  • Hebron, CT
  • NPI 1346900412
  Medicare reassignment Care Compare group NPD
• Wild Apple Eye LLC

  • Optometrist
  • Centerbrook, CT
  • NPI 1104465939
  Medicare reassignment Care Compare group NPD
• Eye Doctors Optometrists PLLC

  • Optometrist
  • Old Saybrook, CT
  • NPI 1770654584
  Medicare reassignment
• Hebron Eye Care LLC

  • Optometrist
  • Hebron, CT
  • NPI 1073729505
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194249722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754405",
            "telephone_number": "860-388-2020",
            "fax_number": "860-388-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754405",
            "telephone_number": "860-388-2020",
            "fax_number": "860-388-0889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 High St",
            "address_purpose": "LOCATION",
            "city": "Deep River",
            "state": "CT",
            "postal_code": "064171907",
            "country_code": "US",
            "telephone_number": "860-526-3937",
            "fax_number": "860-526-3172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200B Village Walk",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064372745",
            "country_code": "US",
            "telephone_number": "203-458-2020",
            "fax_number": "203-458-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEZZOLI",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Titelman, PHD
• Lisa Uihlein
• Judith Ulrich
• Margaret Vanderlin, APRN
• Ann Louise Vandermaelen, PH.D.
• Domigo Rene Vicedomini, H.I.S.
• Kevin M. Wakeham, D.P.M.
• Wal-Mart Stores East LP
• Janet Walker, PSY.D.
• Wassef LLC

• Optometrist in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.